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Article
The Computer-Assisted Brief Intervention for Tobacco (CABIT) program: a pilot study
Emergency Medicine Publications and Presentations
  • Edwin D. Boudreaux, University of Massachusetts Medical School
  • Kristyna L. Bedek, UMDNJ-Robert Wood Johnson Medical School
  • Nelson J. Byrne, The Credit Valley Hospital
  • Brigitte M. Baumann, Cooper University Hospital
  • Sherrill A. Lord, Polaris Health Directions, Inc.
  • Grant Grissom, Polaris Health Directions, Inc.
UMMS Affiliation
Department of Emergency Medicine
Date
12-3-2012
Document Type
Article
Medical Subject Headings
Humans; *Internet; Patient Satisfaction; Pilot Projects; Smoking Cessation; *Therapy, Computer-Assisted
Abstract
BACKGROUND: Health care providers do not routinely carry out brief counseling for tobacco cessation despite the evidence for its effectiveness. For this intervention to be routinely used, it must be brief, be convenient, require little investment of resources, require little specialized training, and be perceived as efficacious by providers. Technological advances hold much potential for addressing the barriers preventing the integration of brief interventions for tobacco cessation into the health care setting. OBJECTIVE: This paper describes the development and initial evaluation of the Computer-Assisted Brief Intervention for Tobacco (CABIT) program, a web-based, multimedia tobacco intervention for use in opportunistic settings. METHODS: The CABIT uses a self-administered, computerized assessment to produce personalized health care provider and patient reports, and cue a stage-matched video intervention. Respondents interested in changing their tobacco use are offered a faxed referral to a "best matched" tobacco treatment provider (ie, dynamic referral). During 2008, the CABIT program was evaluated in an emergency department, an employee assistance program, and a tobacco dependence program in New Jersey. Participants and health care providers completed semistructured interviews and satisfaction ratings of the assessment, reports, video intervention, and referrals using a 5-point scale. RESULTS: Mean patient satisfaction scores (n = 67) for all domains ranged from 4.00 (Good) to 5.00 (Excellent; Mean = 4.48). Health care providers completed satisfaction forms for 39 patients. Of these 39 patients, 34 (87%) received tobacco resources and referrals they would not have received under standard care. Of the 45 participants offered a dynamic referral, 28 (62%) accepted. CONCLUSIONS: The CABIT program provided a user-friendly, desirable service for tobacco users and their health care providers. Further development and clinical trial testing is warranted to establish its effectiveness in promoting treatment engagement and tobacco cessation.
Comments

Citation: J Med Internet Res. 2012 Dec 3;14(6):e163. doi: 10.2196/jmir.2074. Link to article on publisher's site

Copyright © Edwin D Boudreaux, Kristyna L Bedek, Nelson J Byrne, Brigitte M Baumann, Sherrill A Lord, Grant Grissom. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 03.12.2012.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.

Related Resources
Link to Article in PubMed
PubMed ID
23208070
Citation Information
Edwin D. Boudreaux, Kristyna L. Bedek, Nelson J. Byrne, Brigitte M. Baumann, et al.. "The Computer-Assisted Brief Intervention for Tobacco (CABIT) program: a pilot study" Vol. 14 Iss. 6 (2012) ISSN: 1438-8871 (Linking)
Available at: http://works.bepress.com/edwin_boudreaux/75/